PSI PERINATAL MENTAL HEALTH
PROFESSIONAL CLINICAL PREP
QUESTIONS AND ACCURATE ANSWERS
GRADED A+
●● Define the perinatal period.
Answer: Time from conception through 1st year after giving birth.
●● Define the prenatal or antenatal time
Answer: During pregnancy
●● Define the postpartum or postnatal time
Answer: 1st year after giving birth
●● What does PMAD mean?
Answer: Perinatal mood (depression, bipolar, psychosis) anxiety (ocd,
panic, had, ptsd) disorders (impact daily functioning).
Can occur at anytime in life but increased risk in perinatal period and
symptoms have unique presentation.
●● How many infants annually are born to depressed mothers?
,Answer: 400,000...making perinatal depression the most under
diagnosed obstetric complication in America
●● PMADs can affect...
Answer: Anyone!
They do not discriminate. Can affect anyone. Socioeconomic status is
NOT protective
●● _ in _ women are affected by perinatal depression
Answer: 1 in 7 women
●● Percentage of pregnancy induced HTN vs pre-eclampsia vs
gestational diabetes vs PMADs?
Answer: 6-8% PIH, 6-8% pre-eclampsia, 6% gestational diabetes, 21%
PMADs
●● _ in _ men are affected by perinatal depression
Answer: 1 in 10 men
●● Risks of untreated PMADs
Answer: Relationship problems, poor adherence to medical care,
exacerbation of chronic medical issues, loss of financial resources,
,disability, child neglect/abuse, developmental delays, tobacco/alcohol,
drug use, Suicide, homicide
●● How many pregnancies are unplanned?
Answer: 50%
Not all pregnancies are planned, wanted. Not all pregnancies end with a
health baby or fulfillment.
●● Etiology of PPD?
Answer: Genetic predisposition, biological sensitivity to hormonal
changes, social/environmental (Hx of trauma or poor social support),
psychological (relationship with own mom, self image/perfectionism)
●● Cultural considerations of ppd
Answer: -in some cultures mothers may not feel safe to express needs or
seek help.
-may report symptoms differently based on culture
●● What did the landmark study on PPD show?
Answer: 22% of women had depression during first year postpartum:
26% started before pregnancy, 33% during pregnancy, 40% during
postpartum
, ●● Of the 22% of postpartum mothers
Answer: 68% had unipolar depression
66% had MDD or combo with GAD
22% bipolar depression
19% had thoughts of harming selves
●● Prenatal depression relapse rate with meds and without meds
Answer: 26% who continued meds relapsed during pregnancy while
68% who stopped meds relapsed
Higher relapse rate if you DC meds
●● Percent of fathers with PPD?
Answer: 10%
●● Depression in men: timing, symptoms
Answer: Peaks at 3-6 months postpartum
May not be sad "masked" and irritable, aggressive, hostile, acting out,
checked out, distractions
PROFESSIONAL CLINICAL PREP
QUESTIONS AND ACCURATE ANSWERS
GRADED A+
●● Define the perinatal period.
Answer: Time from conception through 1st year after giving birth.
●● Define the prenatal or antenatal time
Answer: During pregnancy
●● Define the postpartum or postnatal time
Answer: 1st year after giving birth
●● What does PMAD mean?
Answer: Perinatal mood (depression, bipolar, psychosis) anxiety (ocd,
panic, had, ptsd) disorders (impact daily functioning).
Can occur at anytime in life but increased risk in perinatal period and
symptoms have unique presentation.
●● How many infants annually are born to depressed mothers?
,Answer: 400,000...making perinatal depression the most under
diagnosed obstetric complication in America
●● PMADs can affect...
Answer: Anyone!
They do not discriminate. Can affect anyone. Socioeconomic status is
NOT protective
●● _ in _ women are affected by perinatal depression
Answer: 1 in 7 women
●● Percentage of pregnancy induced HTN vs pre-eclampsia vs
gestational diabetes vs PMADs?
Answer: 6-8% PIH, 6-8% pre-eclampsia, 6% gestational diabetes, 21%
PMADs
●● _ in _ men are affected by perinatal depression
Answer: 1 in 10 men
●● Risks of untreated PMADs
Answer: Relationship problems, poor adherence to medical care,
exacerbation of chronic medical issues, loss of financial resources,
,disability, child neglect/abuse, developmental delays, tobacco/alcohol,
drug use, Suicide, homicide
●● How many pregnancies are unplanned?
Answer: 50%
Not all pregnancies are planned, wanted. Not all pregnancies end with a
health baby or fulfillment.
●● Etiology of PPD?
Answer: Genetic predisposition, biological sensitivity to hormonal
changes, social/environmental (Hx of trauma or poor social support),
psychological (relationship with own mom, self image/perfectionism)
●● Cultural considerations of ppd
Answer: -in some cultures mothers may not feel safe to express needs or
seek help.
-may report symptoms differently based on culture
●● What did the landmark study on PPD show?
Answer: 22% of women had depression during first year postpartum:
26% started before pregnancy, 33% during pregnancy, 40% during
postpartum
, ●● Of the 22% of postpartum mothers
Answer: 68% had unipolar depression
66% had MDD or combo with GAD
22% bipolar depression
19% had thoughts of harming selves
●● Prenatal depression relapse rate with meds and without meds
Answer: 26% who continued meds relapsed during pregnancy while
68% who stopped meds relapsed
Higher relapse rate if you DC meds
●● Percent of fathers with PPD?
Answer: 10%
●● Depression in men: timing, symptoms
Answer: Peaks at 3-6 months postpartum
May not be sad "masked" and irritable, aggressive, hostile, acting out,
checked out, distractions
